New Jersey A1762 mandates health insurance carriers to cover expenses for persons 18 or younger with diagnosed complex medical needs.
New Jersey A1762 requires health insurance carriers, including insurance companies and entities contracted with the State Health Benefits Program or School Employees' Health Benefits Program, to provide coverage for persons 18 years of age or younger with diagnosed complex medical needs. The bill mandates that carriers approve benefits within three days of a letter from the attending licensed health care provider and prohibits conditioning payment on pre-approval or precertification for covered services deemed medically necessary by the provider.
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- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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